Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.02 / $203.02 / $203.02	Facility		$203.02	$203.02	$203.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.10 / $203.02 / $357.53	Professional		$190.10	$203.02	$357.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.45 / $442.70 / $732.46	Facility		$402.45	$442.70	$732.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.28 / $374.28 / $495.01	Professional		$374.28	$374.28	$495.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.52 / $861.24 / $861.24	Facility		$289.52	$861.24	$861.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $832.08 / $1,679.48	Facility		$252.60	$832.08	$1,679.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $670.27 / $761.68	Professional		$184.40	$670.27	$761.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $304.52 / $462.82	Facility		$128.93	$304.52	$462.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $230.43 / $402.45 / $533.74	Professional		$230.43	$402.45	$533.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $203.02 / $422.57 / $2,114.14	Facility		$203.02	$422.57	$2,114.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.34 / $235.29 / $454.36	Professional		$181.34	$235.29	$454.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $200.35	Professional		$50.00	$70.00	$200.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $304.52 / $462.82	Facility		$128.93	$304.52	$462.82
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $230.43 / $402.45 / $533.74	Professional		$230.43	$402.45	$533.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $402.45 / $619.35 / $1,198.42	Professional		$402.45	$619.35	$1,198.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $786.04 / $2,114.14	Facility		$252.60	$786.04	$2,114.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $252.60 / $3,916.85	Professional		$184.40	$252.60	$3,916.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $402.45 / $402.45 / $402.45	Professional		$402.45	$402.45	$402.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $402.45 / $402.45 / $402.45	Professional		$402.45	$402.45	$402.45
United Facility/Professional Professional Modifier Low / Median / High Price $156.37 / $233.00 / $384.82	Professional		$156.37	$233.00	$384.82